The Highviews
Brighton, BN2
ResidentialDementia
Rated 4 months agoReport explained
CQC report explained · a residential care home, run by Jiva Healthcare
Lavender House
17 Walsingham Road, Hove, BN3 4FE
Goodpublished 4 November 2023, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Good
- People had current, detailed risk plans and there were enough staff to meet their needs. Inspectors found safe recruitment, clean premises, good infection control and well-organised medicines systems.
- Effective?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found that governance systems had improved and were now operated effectively. People, relatives, staff and professionals spoke positively about the way the home was managed.
The latest report, explained
What inspectors found, November 2023
Rated Good; inspectors found safe, respectful care and stronger oversight after earlier medicines and governance problems.
The inspection was unannounced and took place on 17 October 2023. One inspector spoke with eight people, staff and care professionals. They observed interactions and checked care plans, recruitment and training records, medicines records, staff rotas and quality checks.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, suitable recruitment checks, clear risk plans, safe medicines arrangements, good infection control and people who felt safe. People, staff and professionals also spoke positively about the home and its managers.
The previous inspection found that quality checks were not always effective and rated Well-led as Requires Improvement. Inspectors found that the provider had taken appropriate action, including adding stronger oversight and improving medicines monitoring. The other key question ratings were carried over from the last inspection because they were not inspected this time.
What inspectors praised
People felt safe
People told inspectors they felt safe and that staff knew how to support them when they became distressed or emotionally unwell.
“I genuinely believe Lavender House is a safe place for me to live.” from the report
Clear risk planning
Risk assessments and management plans were up to date, personal to each person and reviewed when needs changed.
“People had up to date, person-centred risk assessments and management plans in place to help staff keep people safe.” from the report
Medicines improvements
A new medicines recording and monitoring system was introduced after problems in 2022. Inspectors found no recording errors or omissions in the records they checked.
“We found no recording errors or omissions on any medicines records we reviewed as part of this inspection.” from the report
Stronger management oversight
The provider added an area operations manager and increased checks by the registered manager. Inspectors found enough improvement for the governance systems to operate effectively.
“We found enough improvement had been made at this inspection to ensure their governance systems were now operated effectively.” from the report
Respectful support
Inspectors found that people were treated as individuals and received person-centred support from trained staff.
“The residents are not treated as patients at the care home, but people who are all individuals.” from the report
What inspectors were concerned about
Earlier medicines recording errors
minorThe report says there was an unexpectedly high number of medicines recording errors in 2022. Inspectors found that the new system had significantly reduced the risk and found no errors in the records checked during this visit.
“In response to an unexpectedly high number of medicines recording errors that occurred in 2022 the deputy manager introduced a new medicines recording and monitoring system” from the report
Questions to ask them, based on this report
- 01How do you check that the new medicines recording system continues to prevent errors?
- 02What quality checks are now carried out by the area operations manager and the registered manager, and how often?
- 03What were the previous ratings for Effective, Caring and Responsive, and when will these areas next be reviewed?
- 04How will you update my relative's risk plans if their mental health, behaviour or ability to travel independently changes?
- 05How will you involve relatives and community mental health professionals in best-interest decisions if my relative cannot make a specific decision?
This was a focused inspection of Safe and Well-led; the other key question ratings were carried over from the last inspection. This explanation was written from the published report of 4 November 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of Lavender House
4 rated inspections over 9 years: the service has improved, from Requires improvement to Good.
- November 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2017Goodstayed GoodSafe: GoodWell-led: Requires improvement
- October 2015Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 26 April 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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